Medication Safety

Better care through better medication management

 

Reducing Harm from Medications

National estimates suggest that Adverse Drug Events (ADEs) contribute an additional $3.5 billion to United States healthcare costs. Given the United States population’s large and ever-increasing magnitude of medication exposure, the potential for harm from ADEs is a critical patient safety and public health challenge. ADEs can include, but are not limited to, medication errors, adverse drug reactions, allergic reactions and overdoses.

The Great Plains QIN is partnering with providers, pharmacists and stakeholders in the region to reduce and monitor ADE rates. We are targeting Medicare Fee-for-Service (FFS) consumers taking three or more medications, including at least one of these high-risk medications: anticoagulants, diabetic agents and/or opioids, for improvement. Tools, education and trainings will be offered. Specific goals include:

  • Reducing ADEs by 35 percent per 1,000 screened Medicare consumers by 2019
  • Monitoring ADE rates by Medicare consumers on anticoagulants, diabetic agents and/or opioids by care setting, state, region and readmission rate
For more information on how medication safety is a key element to improved care coordination, visit the Care Coordination Initiative page of this site.

 

 

Medication Safety News

News

See All Medication Safety News Posts 

Training Events
May 23 @ 1:00 pm – 5:00 pm Four Locations in North Dakota (Held Simultaneously)
    This year’s Quality Health Associates of North Dakota Annual Quality Forum—The Power of Progress—is an intentional celebration of successes from across the continuum of care throughout North Dakota represented by professionals who are[...]
Mar 27 @ 12:00 pm – 1:00 pm
Presentation/Slides Handout We know that patients who are co-prescribed opioid therapies and benzodiazepines, a class of sedatives, are at an increased risk of hospitalization and death due to drug interaction and drug overdose. Unfortunately, several[...]
Mar 20 @ 12:00 pm – 1:00 pm
Presentation/Slides Handout Bedside medication delivery (Med-to-Bed) involves patients obtaining their discharge medications and education prior to leaving the hospital. It has been found to reduce readmissions and improve patient satisfaction scores. This presentation provided an[...]
Feb 6 @ 12:00 pm – 1:00 pm
Register Now Participation Instructions: Register for the WebEx event. Upon registration, you will receive a confirmation email with a registration ID from messenger@webex.com. The information on the email will be required to log into the[...]
Dec 4 @ 12:00 pm – 1:00 pm
Play WebEx Recording Presentation Handout Project ECHO is a collaborative model to increase sharing and workforce capacity to provide best-practice care and reduce health disparities. Learn how three different organizations in the Great Plains QIN[...]
Oct 25 @ 1:00 pm – 2:00 pm
Presentation handout Overview and Purpose: This webinar will provide a brief explanation of antibiograms and will delve into their value in acute care, long-term care and outpatient settings. Using antibiograms to support improved antibiotic use[...]
Oct 10 @ 2:00 pm – 3:30 pm WebEx
All healthcare providers, partners and beneficiaries are welcome to attend! This Medication Safety Learning and Action Network (LAN) Event will feature a speaker panel of patients living with pain, a pain management specialist and a[...]
Sep 26 @ 12:00 pm – 1:00 pm
Presentation Handout Only 20% of people with opioid use disorder receive treatment. The Centers for Medicare & Medicaid Services (CMS) Roadmap to Address the Opioid Epidemic lists expanding access to treatment as a key area[...]
Sep 20 @ 12:00 pm – 1:00 pm
Presentation handout WebEx Q&A Learn how a large system practice and rural clinic practice are using Chronic Care Management Programs to better coordinate care, increase communication to providers, reduce unnecessary hospitalizations and ED visits, empower[...]
Aug 7 @ 12:00 pm – 1:00 pm
Presentation/slides Handout Overview and Purpose: During this WebEx recognized international expert and chairman of the Institute on Global Drug Policy, Dr. Eric Voth, will discuss the nationwide opioid epidemic, appropriate prescribing, alternative modalities and Opioid[...]
Jul 25 @ 12:15 pm – 12:45 pm
Presentation Handout Improving care for people with multiple chronic conditions that are often complicated by patients’ limited ability to care for themselves independently and by their complex social needs will help improve the performance of[...]
Jul 11 @ 12:00 pm – 1:00 pm
Presentation Slides Handout The CDC Guidelines for Prescribing Opioids for Chronic Pain recommend tapering opioids when benefits do not outweigh harms of continued therapy. Tapering opioids can be challenging and a difficult process for patients.[...]
Jun 27 @ 12:00 pm – 12:45 pm
Presentation Handout Improving care for people with multiple chronic conditions that are often complicated by patients’ limited ability to care for themselves independently and by their complex social needs will help improve the performance of[...]
May 24 @ 12:15 pm – 1:00 pm
Presentation/Slide Handout   Naloxone is a safe medication that can prevent opioid deaths. This webinar will improve participants’ understanding of the role of naloxone in preventing opioid overdose related death, identification of individuals who may[...]
Apr 11 @ 11:00 am – 12:00 pm
Presentation/Slide Handout Early Recognition and Management of Sepis for Post-acute Settings (MPRO) Sepsis is one of the top diagnoses involved with readmissions throughout the Great Plains and Lake Superior Quality Innovation Networks. This webinar is[...]
Apr 10 @ 12:15 pm – 1:00 pm
This webinar will review acute pain and chronic pain guidance and will discuss how to use a pain guidance document in practice. Differentiation of pain treatment recommendations as they relate to patient populations will be[...]
Mar 29 @ 12:00 pm – 1:00 pm
Presentation/Slide Handout   On January 1, Nebraska became the first state to require pharmacists and pharmacies to report all dispensed prescriptions daily to the state’s Prescription Drug Monitoring Program (PDMP), not just controlled substances. PDMPs are a[...]
Mar 13 @ 12:15 pm – 1:00 pm
This webinar highlighted the development of a Pain Guidance Task Force in Nebraska. Presenters discussed composition of the task force and utilization of CDC’s guidelines on opioid prescribing to compile the Nebraska Pain Guidance Document[...]
Feb 20 @ 12:00 pm – 12:30 pm
One of the multitude of contributing factors to the opioid epidemic is highly variable pain treatment practices between healthcare providers. Efforts are being made nationally and at organizational levels to provide more consistent treatment guidelines[...]
Feb 14 @ 11:00 am – 12:00 pm
  Presentation Handout Every two minutes someone dies from sepsis in the United States. Eighty percent of sepsis begins outside the hospital. The elderly, as well as patients with chronic conditions, are at significant risk[...]
Feb 6 @ 12:15 pm – 12:45 pm
One of the multitude of contributing factors to the opioid epidemic is highly variable pain treatment practices between healthcare providers. Efforts are being made nationally and at organizational levels to provide more consistent treatment guidelines[...]
Jan 29 @ 12:15 pm – 12:45 pm
Nonpharmacologic therapies have become a vital part of managing chronic pain. This webinar will focus on the non-pharmacologic options available including mindfulness and meditation, yoga and exercise, anti-inflammatory foods, emotional triggers, sleep and more. Target[...]
Jan 9 @ 12:15 pm – 12:45 pm
  Presentation handout Nonpharmacologic therapies have become a vital part of managing chronic pain. This webinar will focus on the non-pharmacologic options available including mindfulness and meditation, yoga and exercise, anti-inflammatory foods, emotional triggers, sleep[...]
Dec 12 @ 12:15 pm – 12:45 pm
  Prescription drug monitoring programs (PDMPs) are a valuable tool to improve patient care and coordination and public safety by reducing drug diversion and inappropriate use. This follow-up coaching call provides participants the opportunity to[...]
Nov 28 @ 12:15 pm – 12:45 pm
Prescription drug monitoring programs (PDMPs) are a valuable tool to improve patient care and coordination and public safety by reducing drug diversion and inappropriate use. This event includes PDMP staff from throughout the Great Plains[...]
Nov 14 @ 12:15 pm – 12:45 pm
Prescription drug monitoring programs (PDMPs) are a valuable tool to improve patient care and coordination and public safety by reducing drug diversion and inappropriate use. This event includes PDMP staff from throughout the Great Plains[...]
Oct 17 @ 12:15 pm – 12:45 pm
Medication Safety LAN Series An important pillar to reducing abuse of opioids is safe and proper disposal of unused medication.  This coaching call will allow participants to interact with take back experts to ask questions,[...]
Oct 10 @ 12:15 pm – 12:45 pm
Medication Safety LAN Series An important pillar to reducing abuse of opioids is safe and proper disposal of unused medication.  This webinar reviews success approaches at the community and state level to improve access to[...]
Sep 26 @ 12:15 pm – 12:45 pm
Medication Safety LAN Series There is no single solution to the opioid epidemic.  It will require a collaborative approach with variety of community partners to address factors such as pain management, treatment, and societal impact.[...]
May 23 @ 12:00 pm – 1:00 pm
Care Coordination and Medication Safety Progress within the Great Plains QIN Region Join the Great Plains Quality Innovation Network Care Coordination Team for the fifth in this series of action-oriented learning events. This WebEx session will[...]
Apr 25 @ 12:00 pm – 1:00 pm
  This month, the Great Plains QIN is providing the opportunity to participate in a Coaching Call with peers and experts in the field regarding any one of the following three topics: reducing rehospitalizations, medication[...]
Mar 28 @ 12:00 pm – 1:00 pm
Join the Great Plains Quality Innovation Network Care Coordination Team for the fourth in this series of action-oriented learning events. This WebEx session will help your organization build capacity for better, safer care and healthier[...]
Feb 28 @ 12:00 pm – 1:00 pm
  This month, the Great Plains QIN is providing the opportunity to participate in a Coaching Call with peers and experts in the field regarding any one of the following three topics: reducing rehospitalizations, medication[...]
Jan 24 @ 12:00 pm – 1:00 pm
The Great Plains QIN Care Coordination Team held this third in a series of action-oriented learning events to help organizations build capacity for better, safer care and healthier people and communities. Medication Safety Presentation Handout Medication safety contributes to reducing[...]
Dec 20 @ 12:00 pm – 1:00 pm
  This month, the Great Plains QIN is providing the opportunity to participate in a Coaching Call with peers and experts in the field regarding any one of the following three topics: reducing rehospitalizations, medication[...]
Oct 25 @ 12:00 pm – 1:00 pm
Rehospitalizations – Medication Safety – Chronic Disease Management Start WebEx Playback Presentation Handout Recording Transcript Join the Great Plains QIN Care Coordination Team for a series of action-oriented learning events over the next several months[...]
Jul 23 @ 2:00 pm – 3:00 pm
    Start WebEx Playback Presentation Handout WebEx Overview This event will provide an introduction to the care coordination and medication safety Learning and Action Network (LAN). Included will be the patient/family perspective, overview of[...]
Drug Take-Back

External Resources
Drug Disposal Information - Diversion Control Division Website
Drug Disposal Locator 

State Specific Drug Takeback Resources
Nebraska Meds Coalition
Kansas Department of Health and Environment
North Dakota Pharmacist Association
South Dakota Department of Health

Medication Safety

External Resources
AHRQ Community Pharmacy Survey on Patient Safety Culture
As You Age...A Guide to Aging, Medicines and Alcohol
Beers Criteria for Potentially Inappropriate Medication Use in Older Adults
Blood Pressure Medication Adherence
FDA Medication Safety
Great Plains QIN Consumer Medication Safety Resources
Institute for Safe Medication Practices (ISMP)
Institute for Safe Medication Practices (ISMP) - High-Alert Medications
ISMP Medication Safety Self Assessment® for High-Alert Medications
Kansas K-TRACS PDMP
Medication Use Safety Training for Seniors (MUST) 
Nebraska Department of Health and Human Services PDMP
North Dakota Board of Pharmacy PDMP
Prescribing Guidelines for the Elderly
South Dakota Board of Pharmacy PDMP
VA/DoD Clinical Practice Guidelines

 

Opioids

External Resources

A Prescriber’s Guide to the New Medicare Part D Opioid Overutilization Policies for 2019
APhA Opioid Use, Abuse and Misuse Resource Center
Evidence-Based Strategies for Preventing Opioid Overdose
Federal Resources for Rural Communities to Help Address Substance Use Disorder and Opioid Misuse
GenerationRx
Guideline for Prescribing Opioids for Chronic Pain    
HCUP Statistical Brief #224 Patient Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014
Healthcare Communities | Medication Management and Opioid (MMO) Initiative
HHS Action to Address Opioid-Drug Related Overdoses & Deaths
Medicare Part D Opioid Drug Mapping Tool
National Council for Behavioral Health | Medication Assisted Treatment
National Institute on Drug Abuse (NIDA) Physician Tools
Nebraska Pain Guidance
NHA Opioid Toolkit
ONC Health IT Playbook - Opioid Epidemic
Opioid Prescribing: Safe Practice, Changing Lives (free CE available-registration required)
PainEDU Pain Management Resources
Pathways to Safer Opioid Use
QIO Program | Prescription Drug Monitoring Program State Videos
Stem the Tide: Addressing the Opioid Epidemic
Telemedicine and Prescribing Buprenorphine for the Treatment of Opioid Use Disorder (DHHS)

State-Specific Prescription Drug Monitoring Programs

Kansas K-TRACS
Nebraska Health Information Initiative
North Dakota Board of Pharmacy
South Dakota Board of Pharmacy

Some content on this page is saved in an alternative format. To view these files, download the following free software.

Meet The Experts

Jayme Steig

Jayme Steig, PharmD, RPh

Pharmaceutical Care Specialist
North Dakota
701-989-6224
Email Jayme

Linda Penisten

Linda Penisten, RN, OTR/L

Program Manager
South Dakota
1-605-336-3505
Email Linda

Learning and Action Network

We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.